The Vanier College Malawi Nursing Exchange offers graduating students a credited seven-week internship to Malawi, Africa to apply their knowledge and skills in a different context. Students learn how limited resources and cultural beliefs and values impact health outcomes. Scarce resources, both human and material, force the students to rely on assessment skills instead of diagnostic tests that are so readily available at home. They also become resourceful, culturally competent and understanding of different health systems. Third-year Nursing students from Malawi attend Vanier College in partnership with Kamuzu College of Nursing. This project contains both virtual and physical mobility components.